Advance Care Planning, Additional 30 min

CPT code 99498 designates advanced care planning, including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified healthcare professional; each additional 30 minutes (List separately in addition to code for primary procedure). This code is applied when healthcare providers engage in additional time beyond the initial 30 minutes during advanced care planning, including the explanation and discussion of advance directives, with the patient, family member(s), and/or surrogate.

Details

CPT code:

99498

Category:

Category I

Section:

Evaluation and Management (E/M)

Specialty:

Advance Care Planning

Type:

Advance Care Planning

Within the landscape of advanced care planning, 99498 holds significance, representing additional time beyond the initial 30 minutes spent on explaining and discussing advance directives. Healthcare providers utilize this code when extending their engagement with the patient, family member(s), and/or surrogate in advanced care planning discussions. Its application ensures accurate documentation of efforts in facilitating important conversations about end-of-life care preferences beyond the initial 30-minute encounter.

Under what category does Advance Care Planning, Additional 30 min fall?

Category I

What is the billing unit for Advance Care Planning, Additional 30 min?

Per Encounter

Modifiers

Clinical use

Prolonged physician service in the inpatient or observation setting, requiring direct patient contact beyond the usual service.

Documentation

Prolonged physician service in the inpatient setting, requiring at least 15 minutes beyond the usual service. Clearly document each additional 15-minute increment of prolonged inpatient service, including the start and end times, and describe the specific activities or discussions justifying the additional time. (Critical care, each additional 30 minutes)